Brace, Jeffrey Rex

Brace, Jeffrey Rex is an individual health care provider with primary practice located at 2355 Highway 36 W Ste 100 , Roseville MN 55113-3905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Brace, Jeffrey Rex can be contacted via phone (651) 292-2000.

Contact Information

Primary practice address
2355 Highway 36 W Ste 100 Roseville MN 55113-3905
Phone: (651) 292-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 44515 Minnesota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 44515 Minnesota

Profile Details

NPI number 1619905924
LBN Legal business name Brace, Jeffrey Rex
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619905924 NPPES
Minnesota Other 1034029 PREFERRED ONE
Minnesota Other 588T5BR PREFERRED ONE
Minnesota MEDICAID 0091681 PREFERRED ONE
Minnesota Other 16-02032 PREFERRED ONE
Minnesota Other 1811611 PREFERRED ONE
Minnesota MEDICAID 330412400 PREFERRED ONE
Minnesota Other P00253879 PREFERRED ONE
Minnesota MEDICAID 0589325 PREFERRED ONE
Minnesota Other 16-03496 PREFERRED ONE
Minnesota Other B592 PREFERRED ONE
Minnesota Other HP44290 PREFERRED ONE
Minnesota Other 17131 PREFERRED ONE
Minnesota MEDICAID 34612300 PREFERRED ONE

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